| NPI | 1508013079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A. PELLERIN President 337-456-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: LA 105496) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: LA 359485) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: LA 359485) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2010-01-26 |